2017-02-14T13:40:05-06:00 2016-09-30 020476956 TYLER SIMMS & ST SAUVEUR CPA PC 19 MORGAN DRIVE LEBANON NH 03766 990 2015-10-01 030183721 WINDSOR HOSPITAL CORPORATION WIND 8026746711 289 COUNTY ROAD WINDSOR VT 05089 DAVID SANVILLE CFO 8026746711 2017-02-09 1 W JAY SIMMS P00435321 6036530044 2017-02-09 2015 2021-01-29 14:40:06Z MTASCUTNEY HOSPITAL & HEALTH CENTER DAVID SANVILLE 289 COUNTY ROAD WINDSOR VT 05089 52020997 0 X MTASCUTNEYHOSPITAL.ORG X 1933 VT TO IMPROVE THE LIVES OF THOSE WE SERVE. OUR ACTIVITIES INCLUDE PROVIDING HEALTHCARE. 16 8 553 58 0 0 2069750 1048528 47311078 48955981 411240 1763248 137949 221132 49930017 51988889 0 0 0 0 28788615 29253933 0 0 215708 20334771 20352611 49123386 49606544 806631 2382345 45798892 46763552 27255744 26988956 18543148 19774596 X MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE. 0 0 39410710 49129506 MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) OPERATES A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHICH PROVIDES PRIMARY AND SECONDARY HEALTH CARE. MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, CLAREMONT, WOODSTOCK, HARTLAND, SPRINGFIELD, AND BROWNSVILLE. THE HOSPITAL PROVIDES ESSENTIAL HEALTHCARE SERVICES INCLUDING EMERGENCY DEPARTMENT, MED/SURG INPATIENT, AND ANCILLARY DIAGNOSTIC TESTS, IMAGING/RADIOLOGY PROCEDURES, AND WELLNESS/PREVENTION SERVICES. MAHHC STAFFS A TOTAL OF 25 ACUTE MED/SURG BEDS AND 10 ACUTE REHABILITATION BEDS. DURING THE YEAR, THERE WERE 977 INPATIENT DISCHARGES, 1,765 OUTPATIENT SURGERIES, 60,503 OUTPATIENT LAB TESTS, AND 12,664 OUTPATIENT IMAGING PROCEDURES. MAHHC IDENTIFIED ACCESS TO PRIMARY CARE AS A CENTRAL COMMUNITY NEED AND IS COMMITTED TO PROVIDING THE PHYSICIAN SERVICES OF FAMILY PRACTICE, INTERNAL MEDICINE AND PEDIATRICS IN WINDSOR AND WOODSTOCK. MAHHC PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. FOREGONE CHARGES FURNISHED UNDER MAHHC'S FREE CARE POLICY AMOUNTED TO $615,260 IN FY16. 39410710 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 66 0 1 553 1 0 0 0 0 0 0 0 0 0 0 X 16 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID SANVILLE 8026746711 289 COUNTY ROAD WINDSOR VT 05089 JOHN GILMAN TRUSTEE 1.00 X 0 0 0 MICHAEL NEWBOLD TRUSTEE 1.00 X 0 0 0 LYNN PETERSON MD TRUSTEE 1.00 X 0 0 0 HON DONNA SWEANEY VICE-CHAIR 1.00 X X 0 0 0 STEVEN SMITH MD TRUSTEE 1.00 40.00 X 4950 166329 83275 DONNA VANFLEET CHAIR 1.00 X X 0 0 0 MARIA PADIN MD DH REPRESENTATIVE 1.00 40.00 X 0 372362 36609 WILLIAM PALMER MD TRUSTEE 1.00 40.00 X 0 190825 138860 VINCENT FUSCA III TRUSTEE 1.00 40.00 X 0 329987 40558 PATTY O'NEILL TREASURER 1.00 X X 0 0 0 DEANNA S HOWARD DH REPRESENTATIVE 1.00 40.00 X 0 243489 65131 MATTHEW S HOUDE DH REPRESENTATIVE 1.00 40.00 X 0 128834 27300 STEVEN D SURGENOR MD TRUSETEE 1.00 40.00 X 0 453904 58338 ALAN KEILLER DH REPRESENTATIVE 1.00 X 0 0 0 JOHN TANSEY SECRETARY 1.00 X X 0 0 0 GAY LANDSTROM INTERIM CEO (EFFECTIVE 6/16/16) 40.00 1.00 X X 0 597242 44071 KEVIN DONOVAN CEO (THROUGH 6/15/16) 40.00 1.00 X X 6600 308276 59784 SHELLEY SEWARD CHAIR (UNTIL FEB 2016) 1.00 X X 0 0 0 DAVID SANVILLE CFO 32.00 X 154100 0 18619 CHRISTOPHER CONNOR PHYSICIAN 40.00 X 319196 0 9532 HEIDI CRUZ PHYSICIAN 40.00 X 228267 0 24467 ANDREW ROBINSON PHYSICIAN 40.00 X 262491 0 25822 JOSEPH PERRAS PHYSICIAN 40.00 X 269686 0 24467 PETER RAUERT PHYSICIAN 40.00 X 321358 0 12941 1566648 2791248 669774 33 0 1 1 DEW CONSTRUCTION CORP 277 BLAIR PARK RD WILLISTON VT 05495 CONSTRUCTION 4328115 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL DRIVE LEBANON NH 03756 PROFESSIONAL AND PHYSICIAN SERVICES 1707789 EMERGENCY SERVICES OF NEW ENGLAND PO BOX 12 CHESTER VT 05143 PHYSICIAN ASST FOR EMERGENCY ROOM 1464649 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 MNGMT & SUPPORT STAFF - ENVMMNTL SRVS 686929 DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL DRIVE LEBANON NH 03756 PROFESSIONAL AND PHYSICIAN SERVICES 678851 5 27577 556032 464919 63196 1048528 PATIENT SERVICES 621110 87851070 87851070 PROGRAM & MISC OTHER 621110 2553705 2553705 DSH/VAHHS REVENUE 621110 187766 187766 PROVISION FOR DOUBTFUL ACCOUNTS 621110 -1301630 -1301630 CONTRACTUAL ALLOWANCES 621110 -40334930 -40334930 48955981 289171 289171 30748 0 30748 30748 30748 1481266 0 7189 1481266 -7189 1474077 1474077 41778 27577 24919 16859 16859 EQUITY IN INCOME OF SUBSIDIARIES 621110 173525 173525 173525 51988889 49129506 0 1810855 X 210835 28480 182355 23223189 19851384 3232441 139364 556484 400835 152978 2671 3613591 3090870 514750 7971 1649834 1188375 453539 7920 63163 63163 46450 46450 7849937 5666389 2169392 14156 77480 10679 51812 14989 57238 42228 14372 638 868493 179194 684494 4805 609327 581923 27404 81131 53163 27961 7 437532 437532 2124980 2124980 715485 462684 250350 2451 SUPPLIES 3631905 3467785 153354 10766 DUES/FEES/TAXES 2174539 1814365 357529 2645 UTILITIES 719271 45301 673970 FOOD EXPENSE 300618 4152 296466 595062 397923 189814 7325 49606544 39410710 9980126 215708 2667684 3472557 171112 171778 1293424 993244 5602572 5368536 469956 549408 275918 325675 44413027 26680451 18480431 17732576 12645892 13735024 1885626 1830928 2306277 2583826 45798892 46763552 4881986 4180684 7796357 4267740 278460 10309661 22529812 27255744 26988956 X 11126913 12429466 1638019 1495059 5778216 5850071 18543148 19774596 45798892 46763552 X 2382345 -656894 -494003 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11575 11575 0 PART II-B, LINE 1: THE HOSPITAL PAID $10,884 IN THE FORM OF DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS). VAHHS IS A MEMBER-OWNED ORGANIZATION DEVOTED TO IMPROVING THE HEALTH STATUS OF COMMUNITIES THROUGHOUT VERMONT THROUGH ACTIVITIES WHICH INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. THE HOSPITAL ALSO PAID $691 IN THE FORM OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA). 4431980 420076 184485 4667571 4759330 -30485 296865 4431980 4645093 312380 198143 4759330 4536888 298805 190600 4645093 4362400 174488 4536888 0.90380 0.09620 0 0 410000 410000 16762365 8021980 8740385 14873502 12443879 2429623 12367160 6214592 6152568 17732576 DEFERRED FINANCING COST, NET 136421 RENTAL DEPOSITS 5560 EQUITY IN SUBSIDIARY 2286190 OTHER RECEIVABLES 155655 2583826 OTHER CURRENT LIABILITIES 1219142 EST. SETTLEMENTS W/ 3RD PARTY PAYORS 824244 POST RETIREMENT BENEFIT OBLIGATION 7195882 MARY HITCHCOCK MEMORIAL HOSPITAL (RELATED) LINE OF CREDIT 1550000 MARY HITCHCOCK MEMORIAL HOSPITAL (RELATED) NOTE PAYABLE 10970000 DARTMOUTH-HITCHCOCK CLINIC (RELATED) ACCOUNTS PAYABLE 760033 MARY HITCHCOCK MEMORIAL HOSPITAL (RELATED) ACCOUNTS PAYABLE 10511 22529812 X 50816462 -656894 -494002 -1150896 51967358 46450 -24919 21531 51988889 49585014 24920 24920 49560094 46450 46450 49606544 PART V, LINE 4: IN GENERAL, THE AMOUNT OF THE ORIGINAL GIFT AND ANY REQUIRED ACCUMULATIONS BY THE DONOR ARE NOT EXPENDABLE. HOWEVER, THE MARKET VALUE OF THE FUND MAY FALL BELOW THAT AMOUNT DEPENDING ON CURRENT FINANCIAL CONDITIONS IN THE UNDERLYING INVESTMENTS. UNDER THE POLICY OF THE HOSPITAL, THE ENDOWMENT ASSETS ARE INVESTED MODERATELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE HOSPITAL. THE HOSPITAL INVESTS IN EQUITY FUNDS, BOND FUNDS AND MONEY MARKET INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN LIMITED RISK CONSTRAINTS. ACTUAL RETURNS IN ANY YEAR MAY VARY FROM BUDGETED AMOUNTS DUE TO MARKET FLUCTUATIONS. PART X, LINE 2: ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ADDRESSES THE ACCOUNTING UNCERTAINTY OF INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF "MORE-LIKELY-THAN-NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON MEASUREMENT CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. THE ORGANIZATION HAS DETERMINED THAT THE PROVISIONS OF SUBTOPIC 740-10 DO NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATIONS FOR FISCAL YEARS PRIOR TO 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE ON INTEREST RATE SWAP 168,362. CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST-RETIREMENT PLANS -662,363. ROUNDING -1. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -24,919. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1. FUNDRAISING EXPENSES 24,919. GOLF TOURNAMENT 69355 27577 41778 3405 7152 7960 6402 69355 27577 41778 3405 7152 7960 6402 24919 16859 1 1 1 X 225.000000000000 1 X 1 1 1 0 1 1 278858 278858 0.00560 7274994 3080450 4194544 0.08460 7553852 3080450 4473402 0.09020 294193 294193 0.00590 47565 47565 0.00100 15678134 10375284 5302850 0.10690 6950 6950 0.00010 16026842 10375284 5651558 0.11390 23580694 13455734 10124960 0.20410 1 615260 20370474 20185183 185291 X 1 1 1 1 WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 X X X X DISTINCT PART REHAB UNIT WINDSOR HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X SEE SCHEDULE O X X 1 15 1 SEE SCHEDULE O 0 0 1 X 225.000000000000 300.000000000000 X X X X X X X 1 1 X X X 1 X SEE SCHEDULE O X SEE SCHEDULE O X 1 X 0 X X 1 X 0 0 WINDSOR HOSPITAL CORPORATION PART V, SECTION B, LINE 5: METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH DIRECT MAIL AND WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR COMMUNITY LEADERS, A SERIES OF COMMUNITY DISCUSSION GROUPS CONVENED IN THE MT. ASCUTNEY HOSPITAL SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. AT THE BEGINNING OF THE SURVEY, RESPONDENTS WERE ASKED TO INDICATE THE REGION THEY PRIMARILY SERVE OR ARE MOST FAMILIAR WITH. A TOTAL OF 33 KEY STAKEHOLDER RESPONDENTS INDICATED THAT THEIR RESPONSES WERE REFLECTIVE OF THE GREATER WINDSOR SERVICE AREA. RESPONDENTS REPRESENTED THE FOLLOWING SECTORS: HUMAN SERVICE/SOCIAL SERVICE 21% MENTAL /BEHAVIORAL HEALTH 3% HOME HEALTH CARE 6% PRIMARY HEALTH CARE 12% MEDICAL SUBSPECIALTY 6% PUBLIC SAFETY/FIRE 3% EMERGENCY MEDICAL SERVICES 3% EDUCATION/YOUTH SERVICES 6% MUNICIPAL/COUNTY GOVERNMENT 6% COMMUNITY MEMBER/VOLUNTEER 6% WINDSOR HOSPITAL CORPORATION PART V, SECTION B, LINE 6A: OTHER FACILITIES WERE DARTMOUTH HITCHCOCK MEDICAL CENTER, ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL AND VALLEY REGIONAL HOSPITAL. WINDSOR HOSPITAL CORPORATION PART V, SECTION B, LINE 7D: A BENEFIT REPORT WAS PREPARED AND MADE AVAILABLE AND DISTRIBUTED THROUGH 5 COMMUNITY PRESENTATIONS, CONDUCTED BY THE COMMUNITY BENEFIT STAFF, AS WELL AS A THOROUGH PRESENTATION MADE TO THE HOSPITAL'S BOARD OF TRUSTEES. THE MT. ASCUTNEY COMMUNITY HEALTH FOUNDATION AND COMMITTEE, AS WELL AS THE WINDSOR AREA COMMUNITY PARTNERSHIP, PARTICIPATED IN THE DISTRIBUTION OF THE REPORT. THE CHNA AND ALL INFORMATION IN THE NEEDS ASSESSMENT IS AVAILABLE FOR STAKEHOLDERS. THE CHNA IS ALSO AVAILABLE VIA PAPER COPY FOR PUBLIC INSPECTION UPON REQUEST AT THE HOSPITAL'S MAIN INFORMATION DESK. IT IS ALSO AVAILABLE PROMINENTLY ON THE HOSPITAL'S OPENING/HOME WEBPAGE. WWW.MTASCUTNEYHOSPITAL.ORG. WINDSOR HOSPITAL CORPORATION PART V, SECTION B, LINE 11: COMMUNITY HEALTH ISSUES HAVE BEEN DETERMINED TO BE THE FOLLOWING 11 HEALTH NEEDS AND THE FOLLOWING ACTIONS HAVE BEEN ACHIEVED IN 2016 AS PART OF OUR IMPLEMENTATION PLAN.1. ALCOHOL AND DRUG MISUSE INCLUDING HEROIN AND USE OF PAIN MEDICATIONSA) INITIATED REVISIONS TO THE CONSUMER GUIDE FOR SUBSTANCE USE TREATMENTB) FORMED A TASK FORCE TO PROMOTE MORE TIMELY ACCESS TO TREATMENT SERVICESC) MEDICATION ASSISTED THERAPY, COUNSELING AND SUPPORT FOR ADDICTED MOMS IS OFFERED THROUGH THE PEDIATRIC CLINICD) PARTNERSHIP WITH BLUE CROSS BLUE SHIELD TO PROVIDE SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) TRAINING FOR SUBSTANCE USE THROUGHOUT THE CLINIC AND EDE) FORMATION OF THE MULTIDISCIPLINARY FUNCTIONAL RECOVERY TEAM AND CONSULT SERVICE FOR CHRONIC PAIN PATIENTSF) CARE MANAGEMENT PROVIDED THROUGH THE CHT AND SPOKE STAFFG) A PLETHORA OF EDUCATION AND PREVENTION INITIATIVES INCLUDING "BE AWARE DON'T SHARE," "MOST DANGEROUS LEFTOVERS," "DRUG TAKE BACK," PROM AND GRAD SEASON EDUCATION, RETAILER COMPLIANCE RECOGNITION, WORK WITH VERMONT LEAGUE OF CITIES AND TOWNS AND REGIONAL PLANNING BOARDS REGARDING EDUCATION ON THE IMPACT OF MARIJUANA LEGALIZATION2. ACCESS TO MENTAL HEALTHA) REVISION OF BROCHURE OF LOCAL MENTAL HEALTH COUNSELORSB) WRAP WORKSHOPSC) COMPLETED AGREEMENT TO EMBED MASTERS LEVEL CLINICIANS IN PEDIATRIC CLINICS OF MAHHC AND OHC, IN ADDITION TO THE ALREADY FUNCTIONING HCRS CLINICIAN IN THE ADULT CLINICD) PARTNERSHIP IN INTERAGENCY CARE MANAGEMENT, PATCH AND THE WINDSOR DRUG TASK FORCE WITH HCRS3. ACCESS TO DENTAL CAREA) DENTAL CLINIC PROVIDED IN WINDSOR ELEMENTARY SCHOOL MAY 10-19, 2016, AND NEW GRANT FROM NORTHEAST DELTA DENTAL RECEIVED FOR 2017 CLINICB) APPLICATION OF FLUORIDE IN PEDIATRIC CLINICSC) OUTREACH TO RECRUIT A LOCAL DENTISTD) DENTAL VOUCHERS FOR CARE THROUGH WINDSOR COMMUNITY HEALTH CLINIC4. ACCESS TO AFFORDABLE HEALTH INSURANCE, COST OF PRESCRIPTION DRUGSA) WINDSOR/WOODSTOCK NAVIGATOR PROGRAM AND WINDSOR COMMUNITY HEALTH CLINIC ASSISTANTS WITH VERMONT HEALTH CONNECT, AND MEDICARE AND MEDICAID APPLICATIONSB) CFO COMMUNICATION WITH VERMONT HEALTH CONNECT AND GREEN MOUNTAIN CARE BOARD C) MEDICARE BOOT CAMPS PROVIDED IN BOTH WINDSOR AND WOODSTOCK5. NUTRITION/ACCESS TO AFFORDABLE FOODA) MEMBERSHIP IN THE UPPER VALLEY HUNGER COUNCILB) WORK WITH THE SCHOOL AND WINDSOR FOOD SHELF TO PROVIDE SUMMER FOOD PROGRAMC) PROMOTION OF CASH CROP PROGRAM AND FARMERS MARKET COUPONSD) PROMOTION OF VEGETABLE INTAKE THROUGH PRODUCT FOR VEGETABLE SAUCES AND SPICESE) SUMMER FOOD DRIVE FOR THE FOOD SHELFF) STRATEGIC PLANNING FOR 3-4-506. LACK OF PHYSICAL ACTIVITY, NEED FOR RECREATIONAL OPPORTUNITIES AND ACTIVE LIVINGA) HEALTH IN PLANNING IMPLEMENTATION GUIDE INCLUDES PHYSICAL ACTIVITYB) STRATEGIC PLANNING FOR 3-4-507. INCOME, POVERTY AND FAMILY STRESSA) PATCH SERVICES AT THE WINDSOR CONNECTION RESOURCE CENTER FROM OCTOBER 2015 THROUGH AUGUST 2016 INCLUDE 183 VISITS FOR ECONOMIC SERVICES, 836 VISITS FOR MENTAL HEALTH COUNSELING AND 16 VISITS FOR EMPLOYMENT COUNSELINGB) TWO PARENT-TO-PARENT COLLABORATIVE PROBLEM-SOLVING PROGRAMS HAVE BEEN COMPLETED WITH THE THIRD PROGRAM TO BEGIN IN OCTOBERC) A FAMILY WELLNESS PROGRAM HAS BEEN EMBEDDED IN THE PEDIATRIC CLINIC BASED ON THE RESEARCH EFFECTIVE VERMONT FAMILY-BASED APPROACH PROGRAM AFTER RECEIPT OF GRANT FUNDING AND CONSULTATION AND TRAINING WITH DR. HUDZIAK AND HIS STAFF8. ACCESS TO TRANSPORTATIONA) PARTICIPATING IN REGIONAL TRANSPORTATION COALITIONB) VOLUNTEERS IN ACTION PROVISION OF RIDESC) USE OF TRANSPORTATION VOUCHERSD) SUCCESSFUL RECEIPT OF RIDES TO WELLNESS DEMONSTRATION AND INNOVATION COORDINATED ACCESS AND MOBILITY PROGRAM9. ACCESS TO PRIMARY HEALTH CAREA) INITIATION OF TEAM-BASED CARE MODEL ON APRIL 25, 2016B) IN 2016 PATIENT CENTERED MEDICAL HOME RECEIVED A SCORE OF 73.8 IN RESPONSE TO THE QUESTION GOT APPOINTMENT FOR CHECKUPS/ROUTINE CARE WHEN NEEDED COMPARED TO THE NRC AVERAGE OF 71.3 AND RECEIVED A SCORE OF 74 IN RESPONSE TO THE QUESTION GOT URGENT CARE WHEN NEEDED COMPARED TO THE NRC AVERAGE OF 67.110. HEALTH CARE FOR SENIORSA) INTERAGENCY CARE MANAGEMENT IN PARTNERSHIP WITH SENIOR SOLUTIONSB) PARTICIPATION IN GERIATRIC WORKFORCE ENHANCEMENT PROGRAM AT BOTH MAHHC AND OHC11. TOBACCO USE/SMOKINGA) REGULAR CESSATION GROUPS AND 1:1 COUNSELING HAS BEEN PROVIDEDB) PREVENTION ACTIVITIES TO DECREASE TOBACCO ADVERTISINGC) STRATEGIC PLANNING FOR 3-4-50D) COMMUNITY EDUCATION ABOUT THE IMPACT OF VAPING PROVIDED WINDSOR HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: MAHHC APPLIES A DISCOUNT TO THE FAP ELIGIBLE PATIENT'S GROSS CHARGES TO ALL BALANCES WHERE THERE IS NO INSURANCE, OR TO MEDICALLY NECESSARY SERVICES PROCESSED BY INSURANCE CARRIERS RESULTING IN A BALANCE, WHICH THE PATIENT IS EXPECTED TO PAY. PART I, LINE 7: PART I, LINE 7. A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS. A COST-TO-CHARGE RATIO WAS USED. PART I, LINE 7G: PART I, LINE 7G. PHYSICIAN CLINIC COSTS INCLUDED WITHIN SUBSIDIZED HEALTH SERVICES ARE $5,302,850 OF THE TOTAL COMMUNITY BENEFIT EXPENSES AND $10,375,284 OF THE DIRECT OFFSETTING REVENUE. PART III, LINE 2: BAD DEBT EXPENSE IS DERIVED FROM THE WRITE OFF OF PATIENT ACCOUNTS AFTER THEY HAVE BEEN SENT 4 STATEMENTS OVER A COURSE OF 120 DAYS. ALSO, BAD DEBT EXPENSE CONTAINS ESTIMATES FOR FUTURE WRITE-OFFS BASED ON MANAGEMENT'S JUDGEMENTS AND FINANCIAL MODELS. PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF INDIVIDUAL ACCOUNTS AND HISTORICAL ADJUSTMENTS. BALANCES STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE PROVISION FOR DOUBTFUL ACCOUNTS AND A CREDIT TO ACCOUNTS RECEIVABLE.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE FOR THE PURPOSES OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. DATA IN EACH MAJOR PAYOR SOURCE ARE REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR DOUBTFUL ACCOUNTS ARE ESTABLISHED AT VARYING LEVELS BASED ON THE AGE OF THE RECEIVABLES AND PAYOR SOURCE. FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR DOUBTFUL ACCOUNTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACTUAL WRITE-OFFS ARE CHARGED AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: PART III, LINE 8. THE SHORTFALL REPRESENTS THE PPS REIMBURSEMENT DIFFERENCE ON THE REHAB UNITS. SINCE THE REIMBURSEMENT DOES NOT COVER THE COSTS OF THESE UNITS, A SUBSIDY IS CREATED. BECAUSE THE HOSPITAL DETERMINED THAT THESE SERVICES ARE IMPORTANT TO OUR SERVICE AREA, THE HOSPITAL COVERS THE SUBSIDY. THE COSTING METHODOLOGY USED ABOVE WAS THE COST TO CHARGE RATIO. PART III, LINE 9B: PART III, LINE 9B. MAHHC'S COLLECTION POLICY AND CHARITABLE CARE POLICIES ARE CONSISTENTLY APPLIED TO ALL PATIENTS. OUR COLLECTION POLICY APPLIES TO ANY BALANCE OWED BY THE PATIENT WHETHER IT IS A BALANCE AFTER INSURANCE, A BALANCE WITH NO INSURANCE, OR A BALANCE AFTER AN ADJUSTMENT FOR PARTIAL CHARITABLE CARE. STATEMENTS, CREDIT REPORTING, COLLECTION EFFORTS, AND WRITE-OFF CRITERIA ARE THE SAME FOR ALL LIKE BALANCES, REGARDLESS OF THE REASON FOR THE BALANCE AND REGARDLESS OF WHETHER IT IS A BALANCE AFTER CHARITABLE CARE OR NOT. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE THE APPROPRIATE ADJUSTMENT ON THEIR BILL. IF A BALANCE REMAINS AFTER THAT ADJUSTMENT, THEY ARE BILLED ACCORDING TO THE COLLECTION POLICY, FOR THE REMAINDER. PART VI, LINE 2: THE NEEDS OF THE COMMUNITY, BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT, ARE ASSESSED THROUGH ONGOING REVIEW OF HEALTH INDICATORS SUCH AS THE YOUTH RISK BEHAVIOR SURVEY AND BRFSS. HOWEVER, EACH OF THE COMMUNITY SELF-MANAGEMENT PROGRAMS AND WELLNESS SESSIONS ARE EVALUATED AND FEEDBACK IS INCORPORATED IN THE DEVELOPMENT OF FUTURE SESSIONS. ALSO, ONECARE VT (ACCOUNTABLE CARE ORGANIZATION) PROVIDES THE HOSPITAL WITH OUTCOMES DATA (SUCH AS COPD, USE OF HOSPICE, FREQUENT ADMISSIONS TO EMERGENCY ROOM) WHERE THE HOSPITAL CAN EVALUATE PROGRAMING AND QUALITY. THE HOSPITAL ALSO HAS A COMMUNITY HEALTH TEAM EMBEDDED IN OUR AMBULATORY CARE CLINICS WHO RESPOND TO THE NEEDS OF REFERRED INDIVIDUALS THE HOSPITAL LEADS THE WINDSOR HSA COORDINATED CARE COMMITTEE WHICH IS A PARTNERSHIP OF REGIONAL HEALTH AND HUMAN SERVICES AGENCIES. THE CHARTER OF THIS GROUP IS TO IMPROVE THE QUALITY OF CARE, PATIENT SATISFACTION AND COSTS OF CARE AS SUCH WE REPORT AND RESPOND TO QUALITY OUTCOMES MEASURES OF NEED. PART VI, LINE 3: WINDSOR COMMUNITY HEALTH CLINIC (A DEPARTMENT WITHIN THE HOSPITAL) PROVIDES INFORMATION AND ONE-ON-ONE ASSISTANCE WITH ANY INDIVIDUAL THAT IS IDENTIFIED WITHOUT INSURANCE. THIS BEGINS AT THE TIME THAT A PATIENT PRESENTS FOR THEIR HEALTH CARE APPOINTMENT; THE REGISTRATION STAFF MAKE THE INTRODUCTION AND PROVIDE INFORMATION TO THE PATIENT ON THE SERVICES. ALSO, A REFERRAL FROM THE PHYSICIAN/PROVIDER MAY DIRECT A PATIENT TO THIS DEPARTMENT. THE STAFF OF THIS DEPARTMENT ASSIST PATIENTS IN APPLYING FOR HEALTH INSURANCE, WHETHER ON THE COMMERCIAL "EXCHANGE", OR IN GOVERNMENTAL INSURERS. THEY ALSO PROVIDE INFORMATION ON AND THE APPLICATION FOR FINANCIAL ASSISTANCE; OFTEN TIME, ASSISTING PATIENTS WITH COMPLETING THE APPLICATION. THIS IS A DEDICATED STAFF THAT IS ON SITE DURING THE NORMAL BUSINESS HOURS WHEN THE MAJORITY OF PATIENTS WOULD BE SEEKING CARE. PART VI, LINE 4: MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, HARTLAND, WOODSTOCK, SPRINGFIELD, WEATHERSFIELD, BROWNSVILLE, VT AND CORNISH, AND CLAREMONT, NH. MAHHC IS THE LARGEST EMPLOYER IN THE TOWN OF WINDSOR, WITH MANY OF ITS RESIDENTS HAVING LOWER THAN AVERAGE PAYING JOBS AND STRUGGLE WITH FINANCIAL STABILITY; INCLUDING TRANSPORTATION DIFFICULTIES. PART VI, LINE 5: MAHHC HAS ESTABLISHED A DIRECTOR OF COMMUNITY HEALTH, A COMMUNITY HEALTH COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES AND COMMUNITY HEALTH OUTREACH DEPT. OUR STAFF ORGANIZES AND LEADS THE MT. ASCUTNEY PREVENTION PARTNERSHIP WHOSE ROLE IS TO IMPLEMENT HEALTH PROMOTION AND PREVENTION PROGRAM FOR HIGH RISK BEHAVIORS SUCH AS ALCOHOL, TOBACCO, AND DRUG ABUSE. WE PROMOTE EXERCISE AND NUTRITION PROGRAMS AS WELL AS ENVIRONMENTAL STRATEGIES TO REDUCE AND PREVENT HIGH RISK BEHAVIOR. WE LEAD THE FOLLOWING COMMUNITY PARTNERSHIPS THAT SERVE AS VEHICLES OF HEALTH PROMOTION; WINDSOR AREA COMMUNITY PARTNERSHIP, WINDSOR PATCH TEAM, BLUEPRINT EXTENDED TEAM, WINDSOR HSA COORDINATION CARE COMMITTEE AND WINDSOR AREA DRUG TASK FORCE. MISSION STATEMENTS ARE AVAILABLE PER REQUEST. PART VI, LINE 6: THE HOSPITAL COMMUNITY BENEFIT STAFF IS AN ACTIVE PARTICIPANT IN REGIONAL COMMUNITY HEALTH COMMITTEE, WHICH IS LEAD AND ORGANIZED BY DARTMOUTH-HITCHCOCK. THE HOSPITAL IS AFFILIATED, FORMALLY, WITH DARTMOUTH-HITCHCOCK. AS ARE OTHER LOCAL HOSPITALS, ALICE PECK DAY MEMORIAL HOSPITAL AND NEW LONDON HOSPITAL. VALLEY REGIONAL HOSPITAL IS ALSO PART OF THE REGIONAL COMMUNITY HEALTH COMMITTEE. THE PARTICIPANTS COLLABORATE, COMPARE SOLUTIONS AND OFFER SUPPORT TO EACH OTHER AS ALL ARE SERVING OVERLAPPING SERVICE AREAS. PART VI, LINE 7: THERE IS NO STATE OF VERMONT REQUIREMENT TO FILE THE COMMUNITY BENEFIT REPORT. 0 1 0 0 0 0 0 1 0 STEVEN SMITH MD TRUSTEE 2600 165555 2350 0 0 774 0 65725 0 17550 4950 249604 0 0 MARIA PADIN MD DH REPRESENTATIVE 0 362321 0 0 0 10041 0 18811 0 17798 0 408971 0 0 WILLIAM PALMER MD TRUSTEE 0 190051 0 0 0 774 0 128733 0 10127 0 329685 0 0 VINCENT FUSCA III TRUSTEE 0 319756 0 0 0 10231 0 39074 0 1484 0 370545 0 0 DEANNA S HOWARD DH REPRESENTATIVE 0 241203 0 0 0 2286 0 57260 0 7871 0 308620 0 0 MATTHEW S HOUDE DH REPRESENTATIVE 0 128834 0 0 0 0 0 8150 0 19150 0 156134 0 0 STEVEN D SURGENOR MD TRUSETEE 0 357013 0 75000 0 21891 0 38212 0 20126 0 512242 0 0 GAY LANDSTROM INTERIM CEO (EFFECTIVE 6/16/16) 0 544531 0 50000 0 2711 0 26823 0 17248 0 641313 0 0 KEVIN DONOVAN CEO (THROUGH 6/15/16) 6600 303563 0 0 0 4713 0 39743 0 20041 6600 368060 0 0 DAVID SANVILLE CFO 145999 0 7640 0 461 0 0 0 18619 0 172719 0 0 0 CHRISTOPHER CONNOR PHYSICIAN 318164 0 0 0 1032 0 0 0 9532 0 328728 0 0 0 HEIDI CRUZ PHYSICIAN 227907 0 0 0 360 0 0 0 24467 0 252734 0 0 0 ANDREW ROBINSON PHYSICIAN 194459 0 67000 0 1032 0 0 0 25822 0 288313 0 0 0 JOSEPH PERRAS PHYSICIAN 261946 0 7500 0 240 0 0 0 24467 0 294153 0 0 0 PETER RAUERT PHYSICIAN 320326 0 0 0 1032 0 0 0 12941 0 334299 0 0 0 PART I, LINE 3 THE CEO IS PAID BY MARY HITCHCOCK MEMORIAL HOSPITAL, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (WHICH ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B (III)): MARY HITCHCOCK MEMORIAL HOSPITAL, A RELATED ORGANIZATION, PAID GAY LANDSTROM $1,211, KEVIN DONOVAN $4,713 AND VINCENT FUSCA $5,587. DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, PAID MARIA PADIN $9,531 AND STEPHEN D SURGENOR $21,453. PART I, LINE 7 STEVEN SMITH, MD RECEIVED BONUSES WHICH WERE BASED UPON RELATIVE VALUE UNITS (RVU'S). X 5 63196 FAIR MARKET VALUE 0 0 1 PART I, LINE 32B: THE HOSPITAL USES TIAA-CREF TO PROCESS AND SELL NON-CASH CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 2 MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER IS A PART OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM, WHICH OWNS FOR-PROFIT SUBSIDIARIES THAT PROVIDE SERVICES AND SUPPORT THE MISSION OF THE ORGANIZATION. AS A RESULT, SOME OFFICERS OF THE MAHHC ALSO MAY BE OFFICERS OF FOR-PROFIT ENTITIES WITHIN THE HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7A DARTMOUTH-HITCHCOCK HEALTH HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS OF MAHHC'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE RIGHT TO RATIFY MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER'S NOMINATION OF 2/3 OF THE MEMBERS OF THE BOARD OF TRUSTEES; REMOVE TRUSTEES AFTER CONSULTATION WITH THE CHAIRPERSON OF THE BOARD; APPROVE THE DISSOLUTION OR LIQUIDATION OF MAHHC; APPOINT, EVALUATE, TERMINATE, AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO; AND OTHER GOVERNANCE DECISIONS. FORM 990, PART VI, SECTION B, LINE 11 BOARD OF TRUSTEES REVIEWED PRIOR TO FILING, PROVIDED MULTIPLE DAYS TO PROVIDE FEEDBACK AND/OR QUESTIONS AND HOSPITAL THEN FILED AFTER THERE WAS SATISFACTION. FORM 990, PART VI, SECTION B, LINE 12C THE FINANCE AND AUDIT COMMITTEE MONITOR AND REPORT TO THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD MEETS ANNUALLY TO REVIEW COMPENSATION FOR THE CEO, USING INDEPENDENT SURVEYS OF AREA COMPENSATION FOR EXECUTIVES OF VARIOUS SIZED HOSPITALS. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED, BY THE HR DEPARTMENT USING COMPARABLE MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 ALL INTERNAL POLICIES, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 3,716,103. MANAGEMENT AND GENERAL EXPENSES 611,085. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,327,188. PROFESSIONAL/CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,950,286. MANAGEMENT AND GENERAL EXPENSES 1,558,307. FUNDRAISING EXPENSES 14,156. TOTAL EXPENSES 3,522,749. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST RETIREMENT PLANS -662,363. CHANGE IN FAIR VALUE ON INTEREST RATE SWAP 168,362. ROUNDING -2. FORM 990, PART XII, LINE 3B: THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES INCLUDING MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER. SCHEDULE H, PART V, LINE 7A: HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/COMMUNITY-SERVICES/ COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS SCHEDULE H, PART V, LINE 10A: HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/ DOCUMENTS/CHNA%20IMPLEMENTATION%20PLAN%202015-2.PDF SCHEDULE H, PART V, LINE 16A: HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/ DOCUMENTS/MAH%20FINANCIAL%20ASSISTANCE%20POLICY.PDF SCHEDULE H, PART V, LINE 16B: HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/ DOCUMENTS/FINANCIAL%20ASSISTANCE%20APPLICATION.PDF HISTORIC HOMES OF RUNNEMEDE 289 COUNTY ROAD WINDSOR VT 05089 237396147 PROVIDING SVCS FOR THE AGING VT 501(C)(3) 9 WINDSOR HOSPITAL CORPORATION 1 MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION INC 289 COUNTY ROAD WINDSOR VT 05089 030300481 HEALTH EDUCATION & PROMOTION VT 501(C)(3) 3 WINDSOR HOSPITAL CORPORATION 1 DARTMOUTH-HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222715483 SUPPORTING ORG NH 501(C)(3) 11 TYPE I N/A 0 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH 0 DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYS SVCS NH 501(C)(3) 9 DARTMOUTH-HITCHCOCK HEALTH 0 HITCHCOCK FOUNDATION ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222139 HLTHCRE RSRCH NH 501(C)(3) 7 DARTMOUTH-HITCHCOCK CLINIC 0 HAMDEN RISK RETENTION GROUP INC 30 MAIN STREET SUITE 330 BURLINGTON VT 05401 208530788 SELF INS VT 501(C)(3) 11 TYPE I DARTMOUTH-HITCHCOCK CLINIC 0 THE NEW LONDON HOSPITAL ASSOC INC 273 COUNTY ROAD NEW LONDON NH 03257 020222171 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH 0 EVERWELL INC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 352506275 SUPPORTING ORG NH 501(C)(3) 11 TYPE I N/A 0 VISITING NURSE ASSOCIATION AND HOSPICE OF VT AND NH INC 205 BILLINGS FARM RD NO 5 WILDER VT 05088 036006494 HOME HEALTH & HOSPICE SVCS VT 501(C)(3) 9 DARTMOUTH-HITCHCOCK HEALTH 0 CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH 0 ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DR LEBANON NH 03766 020222791 HOSPITAL NH 501(C)(3) 3 DARTMOUTH-HITCHCOCK HEALTH 0 SURGERY CENTER OF GREATER NASHUA 10 PROSPECT ST NO 101 NASHUA NH 03060 461084049 DAY SURGERY CENTER NH 501(C)(3) 3 N/A 0 CHESHIRE HEALTH FOUNDATION 580 COURT STREET KEENE NH 03431 020202220 SUPPORTING ORG NH 501(C)(3) 11 TYPE II CHESHIRE MEDICAL CENTER 0 DARTMOUTH-HITCHCOCK HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264812335 PARENT ORG NH 501(C)(3) 9 N/A 0 ONE CARE VT ACOLLC 111 COLCHESTER AVE BURLINGTON VT 05401 455399218 SHARED SAVING VT N/A DH MASTER INVESTMENT PARTNERSHIP ONE MED CTR DR LEBANON NH 03756 020505863 POOLED INVESTMENT NH N/A NEW ENGLAND PHARMACY COLLAB ONE MED CTR DR LEBANON NH 03756 263819035 GROUP PURCHASING NH N/A IMAGINECARE INC 35 CENTERRA PARKWAY LEBANON NH 03766 813105071 SOFTWARE TECHNOLOGY DE N/A C 0 HITCHCOCK HEALTH CONNECT INC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 800908979 TELEHEALTH DE N/A C 0 POMPANOOSUC INVESTMENT CORPORATION ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020352330 RL ESTATE HLD NH N/A C 0 HAMDEN ASSURANCE COMPANY LIMITED CANONS COURT 22 VICTORIA STREET HAMILTON HM EX BD 980121409 LIAB INSUR BD N/A C 0 KEARSARGE COMMUNITY SERVICES INC 273 COUNTY RD NEW LONDON NH 03257 020460136 REAL EST HLDG NH N/A C 0 NEW LONDON PHYSICIAN GROUP INC 273 COUNTY RD NEW LONDON NH 03257 020494420 PHYSICIAN GROUP NH N/A C 0 NEW LONDON MEDICAL CENTER EAST INC 273 COUNTY RD NEW LONDON NH 03257 020480857 REAL EST HLDG NH N/A C 0 KEENE HEALTH SERVICES 580 COURT STREET KEENE NH 03431 020374997 REAL EST HLDG NH N/A C 0 KEENE HEALTH REALTY 580 COURT STREET KEENE NH 03431 020374998 REAL EST HLDG NH N/A C 0 KEENE HEALTH ENTERPRISES 580 COURT STREET KEENE NH 03431 020374999 REAL EST HLDG NH N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 MARY HITCHCOCK MEMORIAL HOSPITAL E 10970000 ACTUAL MARY HITCHCOCK MEMORIAL HOSPITAL E 1550000 ACTUAL HISTORIC HOMES OF RUNNEMEDE Q 149952 ACTUAL MT ASCUTNEY HOSPITAL HEALTH FOUNDATION S 66862 ACTUAL NEW ENGLAND ALLIANCE FOR HEALTH LLC P 540249 ACTUAL DARTMOUTH-HITCHCOCK CLINIC O 2791000 ACTUAL MARY HITCHCOCK MEMORIAL HOSPITAL P 81499 ACTUAL